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Goodwill and Other Intangibles, Net - Additional Information (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Indefinite-lived Intangible Assets [Line Items]      
Disposal Group, Including Discontinued Operation, Goodwill   $ 400 $ 200
Intangible Assets, Net (Excluding Goodwill) $ 102,006 96,405  
Amortization 2,500 1,900 2,100
Impairment of Intangible Assets (Excluding Goodwill)   $ 600 $ 2,000
Home-based services [Member]      
Indefinite-lived Intangible Assets [Line Items]      
Intangible Assets, Net (Excluding Goodwill) 69,400    
Hospice Entity [Member]      
Indefinite-lived Intangible Assets [Line Items]      
Intangible Assets, Net (Excluding Goodwill) 23,700    
Community-Based Services [Member]      
Indefinite-lived Intangible Assets [Line Items]      
Intangible Assets, Net (Excluding Goodwill) 7,400    
Facility-based services [Member]      
Indefinite-lived Intangible Assets [Line Items]      
Intangible Assets, Net (Excluding Goodwill) $ 1,500